Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area. For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area.
In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.
Transplant Infectious Disease APP Hospitalist
Physician Assistant or Nurse Practitioner
Job Location Duke University Hospital
The Transplant Infectious Disease (ID) APP, Physician Assistant (PA) or Nurse Practitioner (NP) hospitalist works collaboratively within a multidisciplinary health care team. He or she will be expected to perform various tasks on behalf of the hospital that are critically important for safe, efficient and patient centered medical care. The Transplant ID Hospitalist is responsible for coordinating the hospital's effort to provide comprehensive care for hospitalized infected transplant patients including those who may be severely ill. He or she will also educate patients and their families in order to increase their satisfaction with their hospitalization and to promote wellness, prevent medical problems, facilitate patient services and intervene as needed.
Job Duties and Responsibilities
Work with the ID Fellow covering TxID1 (Transplant team #1) to triage consult requests between TxID1 and TxID2.
For all new consults, pre-round on the patient including examination and interview, gather and document background history, laboratory and radiographic data, including pertinent information from outside facilities (e.g. call outside facility to secure updated culture information, or transfer of radiographic imaging, etc.)
For all patients each day:
Pre-round on each patient on the service, examining the patient and collecting and documenting the 24 hour clinical course, laboratory, radiographic, and culture data in order to facilitate sequence of rounds
Review and document all antibiotics including duration of therapy and preparation (e.g. oral, intravenous, inhaled, etc.), any dosing changes and drug side effects, interactions, & toxicity; emphasis will be placed on compliance with hospital infection care protocols and antibiotic stewardship including IV to oral switch, using Duke Hospital formulary medications, narrowing antibiotic focus, and discontinuing antibiotics as soon as clinically prudent
Screen each patient for ongoing antibiotic trials offered at Duke
Round daily with the TxID Attending
Present new consults to the TxID attending for review, final recommendations
Review old patients on the census including any new, pertinent updates
Communicate care plans to the primary transplant services.
Coordinate outpatient follow-up / transition to TxID clinic.
Arrange outpatient TxID clinic visits
Follow labs/drug levels, etc. in conjunction with inpatient attending until the patient is seen in TxID outpatient clinic
NP: Graduate of MSN or DNP Nurse Practitioner Program for Adult Care
NP: National certification to treat adults, e.g. FNP, ANP, ACNP, AGNP, AGACNP
PA: Current inhibited medical license issued by NCMB with authorization to practice as a PA
NP: Current uninhibited RN license issued by the NCBON with authorization to practice as an NP
Prefer 1-2 years of experience in a similar setting, but not required.
Physical and mental requirements:
Able to clearly articulate scope of practice, and practices within those guidelines as a Physician Assistant in the state of North Carolina and within the Duke University Health System.
Able to independently seek out resources and work collaboratively to solve complex problems
Able to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership, and others.
Able to use sensory and cognitive functions to process and prioritize information, perform health assessments, treatment, and follow-up.
Able to use fine motor skills
Able to record activities, document assessments & interventions; prepare reports and presentations
Able to use computer and learn new software programs
Able to provide leadership in clinical area of expertise and in meeting organizational goals
Able to navigate the Hospital and DUHS to provide clinical expertise to specific patient populations
Able to withstand prolonged standing and walking with the ability to move or lift at least fifty pounds
Able to remain focused and organized
Able to work collaboratively with all levels of personnel
Primary hours will be four 10-hour shifts per week, and other hours as needed to fulfill the responsibilities of the position. Primary hours will be flexible to cover the needs of the service.
Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.